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Joint Strategic Needs Assessment


The Joint Strategic Needs Assessment (JSNA) is an assessment of the current and future health and social care needs of the local community. The JSNA informs the Joint Health and Wellbeing Strategy (JHWS) which is a strategy for meeting the needs identified in the JSNA. These are needs that could be met by the local authority, Clinical Commissioning Groups or NHS England.

This refreshed JSNA follows a ‘life course approach’ which recognises that the conditions in which people are born, grow, live, work and age can lead to health inequalities. Chapters are more concise and include a more visual way to look at the data which allows users to explore it in detail by selecting geographies or indicators of interest.

The JSNA is a continuous process and is updated as additional information becomes available, as gaps are identified and in response to feedback received. We would welcome your feedback and suggestions on the priorities emerging from the JSNA. Please send your feedback and suggestions to

The grid below relates the chapters to each life stage. To read a chapter, please select a title from the grid.

Starting well arrow pink2.png Developing well arrow pink.png Transistion to adulthood arrow pink.png Living well arrow pink.png Aging well arrow pink.png

The Surrey Context: People and Places

Maternity and infant feeding


Long term conditions

Multiple morbidities & frailty

End of Life


Developing Healthy Lifestyles

Improving Health Behaviours

Screening and Immunisations


Children and young people with Special Educational Needs and Disabilities (SEND)

Adults with Learning Disabilities  

Substance misuse


Sexual and reproductive health

Unintentional injuries across the lifecourse

Perinatal mental health

Emotional wellbeing and Mental Health

Wellbeing and adult mental health


Early years and school readiness

Education and skills

Further education and training

Adult Learning

Young carers and young adult carers

Adult carers

Safeguarding children

Safeguarding adults

Air quality

Physical activity, leisure and open spaces

Economy, employment and deprivation

Planning, housing and housing related support

Arts and Culture

Community safety

Archived chapters and chapters from the previous JSNA which have not yet been refreshed can be accessed here